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Kimberly Beth Siders, PA-C

Physician Assistant in Tampa, FL. Individual provider (NPI-1).

NPI number1104905751
StatusActive
Last updated in NPPESMar 10, 2017

Details

NPI
1104905751
Entity type
Individual (NPI-1)
Name
Mrs. Kimberly Beth Siders
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2006
Last updated
Mar 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9103918FLYes

Practice location

15310 Amberly Dr
Suite 150
Tampa, FL 33647-2199

Phone 813-978-8888 · Fax 813-972-8974

Mailing address

15051 S Tamiami Trl
Suite 203
Fort Myers, FL 33908-5182

Phone 239-437-8810 · Fax 239-313-2555

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